Active NPIIndividual providerSole proprietor

Lara Gonzalez, MS, SLP

Speech-Language Pathologist, in Sicklerville, New Jersey

NPI Number1497165856
Practice location
401 Independence Blvd, Sicklerville, NJ 08081-1094
Fax
609-228-0678
Last updated
May 6, 2014

Lara Gonzalez is a Speech-Language Pathologist, based in Sicklerville, NJ. Lara Gonzalez practices in Sicklerville, NJ and has the professional credentials of MS, SLP. The NPI Number for Lara Gonzalez is 1497165856 and holds a License No. 41YS00287900 (NJ). The current practice location address for Lara Gonzalez is 401 Independence Blvd, Sicklerville, NJ 08081-1094 and can be reached out via phone at 856-210-2777 and via fax at 609-228-0678.

Provider Profile Details

NPI Number
1497165856
Provider Name
Lara Gonzalez
Credential
MS, SLP
Provider Entity Type
Individual
Gender
Female
Address
401 Independence Blvd, Sicklerville, NJ 08081-1094
Phone Number
856-210-2777
Fax Number
609-228-0678
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 6, 2014
Last Update Date
May 6, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
401 Independence Blvd
Sicklerville, NJ 08081-1094
Zip
08081-1094
Phone Number
856-210-2777
Fax Number
609-228-0678
Sicklerville, NJ 08081Get directions →

Provider Business Mailing Address Details

Address
401 Independence Blvd
Sicklerville, NJ 08081-1094
City
Sicklerville
State
NJ
Zip
08081-1094
Phone Number
856-210-2777
Fax Number
609-228-0678

License Information

License Number
41YS00287900
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lara Gonzalez, MS, SLP?

The NPI number of Lara Gonzalez, MS, SLP is 1497165856. It was assigned on May 6, 2014 and is currently active in the NPPES registry.

What is the specialty of Lara Gonzalez, MS, SLP?

Lara Gonzalez, MS, SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00287900.

Where does Lara Gonzalez, MS, SLP practice?

The practice location is 401 Independence Blvd, Sicklerville, NJ 08081-1094. The office can be reached at 856-210-2777 (phone) or 609-228-0678 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497165856 directly on the NPPES registry website.

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